Most arsenic poisoning is chronic: Through global trade, we are ingesting more and more arsenic-contaminated products – mainly rice, tea, medicinal herbs. Acute arsenic poisoning usually is accidental or occupational (mainly workers in pest control, electronics manufacturing industry and pressure-treated carpentry). Few are homi- or suicidal. Earlier this year I have been diagnosed with arsenic-induced ataxia. Ataxia means imbalance, wobbliness.

For me, I am glad that I have “just” ataxia, and not more. The list below contains Latin as well a common names to make it easier to find things.

Here is the short of what I have been doing to reduce my arsenic levels:
1. Stop using tainted products; look for safer sources.
2. Sauna as often as possible to sweat out heavy metals. Sweating through exercise and summer heat also helps.
3. Eating fresh garlic and cilantro bind and expel heavy metals
4. Vitamin C, selenium, vitamin B12, zinc, folate and methionine add to the elimination of arsenic.
5. And, of course, all the other lifestyle goodies: A healthy diet heavy on vegetables. Movement. Enough sleep. Plenty of water (some areas of the US have arsenic-contaminated drinking water from wells – careful!).

Signs and Symptoms

The myriad manifestations of arsenic intoxication do a roller coaster through all medical specialties, it seems. Since there are so many overlapping features with many diseases, it will take an open mind and special alertness to make a diagnosis. Just to show the enormous scope of signs and symptoms, I have thrown together acute and chronic arsenic intoxication. The list is not thought for diagnosing yourself - consult your physician. Here is the list:

A new study to answer the question: Which is the optimal blood pressure goal? has been terminated prematurely because it became statistically overwhelmingly clear that lower blood pressure targets will save lives.

That is a great outcome of a study: The clear-cut benefit of lower blood pressure. Not that it is all news: In medical school I already learned this medicine pearl: People with low pressure live for a long time, but they will feel lousy often – from dizziness and lack of energy. People with high blood pressure feel on top of the world – until they drop dead of stroke or heart attack.

It is good to know that our recent blood pressure goals have been set too high. If you have high blood pressure, or borderline high blood pressure, get ready for your doctor to put you on medication, or increase your anti-hypertension pills.

But the question is: Why do I read one report after the other about this blood pressure study, and all the commentators remark on how important it is to increase medications – and not a single commentator mentions that there are ways to lower your blood pressure without pills - naturally?

There are! You don’t have to take pills for the rest of your life; they can have serious side effect – one of the least seems to be impotence (erectile dysfunction), which is obviously a minor problem for the prescribing physician, but may make your life thoroughly miserable.

Here, if you want to go the natural way:

• End your hot showers always with a short (20 to 30 seconds) cold shower. Don’t do it yet if your blood pressure is uncontrolled high. But if you are on a pill, reasonably controlled, to can make this a daily habit. If a cold shower feels too harsh, wash yourself down with a cold facecloth twice a day in front of the sink.
• Get yourself a cheap step counter and walk more. The step counter is not really necessary, but is a great motivator. Walk more stairs, too.
• Also, walk on uneven surfaces whenever you have an occasion. Walking the beach, hiking, and walking barefoot have all been shown to lower blood pressure. One study showed that walking barefoot on pebbles is especially effective. Why is that so? The more uneven the terrain is, the more muscles you use, and the greater is the relaxation effect.
• Get enough sleep. Sleep deprivation leads to more stress, and stress increases blood pressure. Aim for being in bed around ten pm. Read for a few minutes, then sleep in darkness, with open window, whenever possible. Grandmother’s advice that sleep before midnight counts double sort of bears out in modern circadian rhythm studies.
• Meditate if your stress level is high. Or do woodworking, or play a musical instrument – any hobby that absorbs your attention wholly and makes you happy has a good de-stressing effect. Even just listening to soothing music lowers your blood pressure.
• Drink enough water. Salt does not seem the main culprit (but it does not hurt to ditch all processed foods – which are notoriously high in salt), but not drinking enough is. Aim for very light yellow urine. Dark urine shows that you are dehydrated (unless there is a kidney/bladder problem).
• Keep your relationships in order. I am all for a good fight if it is necessary. But an unhappy relationship will break your heart – with or without high blood pressure.
• Reduce screen time – TV, Twitter, telephone and Internet. All overexcite your brain. Be yourself – find quiet time often.
• Eat a diet high in vegetables and herbs. Plants contain thousands of chemical compound which all conspire to keep your blood pressure low. Eat meat but only organic (or from a farmer whose agricultural practices you trust). Have plenty of good fats like organic olive oil, coconut oil, cultured butter – fat is not the enemy.
• Slowly move toward your ideal weight by eating less sugars and starches. Avoid artificial sweeteners, too.
• And if you insist on a pill, let it be herbs (it may be advisable to work with a good herbalist – or a doctor who know herbs):

And so many more! Some may go into your food as spices when you cook. Actually, cooking every evening from scratch might be the best course you could take: It will relax you after work and absorb your attention – and it will heal you body that gets high blood pressure from the pressures and habits of modern life. In 95 percent, hypertension is a lifestyle issue; only in five percent, a serious medical diagnosis (kidneys, endocrine) can be made.

If high blood pressure stems from wrong lifestyles, I suggest we replace it with better, healthier, more joyful lifestyles.

In the last week, several people came up to me to tell me how my book “The Diabetes Cure” has helped them. One was a woman who had lost a few pesky pounds (six, in her case, but I have seen fifty in others). She is bragging she’s back to her ideal weight, and feels great.

This is the kind of testimonial I expected, and am used to by now. But another woman reported that the horrible asthma, that has plagued her all her life, is mostly in remission. She blames my dietary advice for the change. It was really difficult for her to stop all the good cheeses, but she finally did – and she has never felt better. Or looked better!

Now, a testimonial is not a scientific proof. But in my book I cite hundreds of studies that support my views. My advice is not a fad, taken out of thin air. It has solid research behind it. Not to mention historic evidence (just look at photos from the thirties when most of modern junk and comfort food was not yet around!). And plain old common sense!

Hemoglobin A1c is the most reliable way of measuring your blood sugar: Every time you put a sugar molecule in your mouth (not to mention a few spoons full!), this makes a permanent change on the outer surface of your red blood cells. Permanent means, it won’t go away until the red blood cell – also called erythrocyte – has reached its lifespan, about three months, and will die. Those surface changes can be measured in the lab.

A “normal” A1c used to be anything below 6.0 – which put me, some years ago, into diabetic territory. Then doctors reconvened and decided on a new “normal”: Now diabetes is diagnosed only when your A1c reaches 6.4 – which does not really make 6.0 to 6.3 “healthy”. Studies show that many people who have been just freshly diagnosed with diabetes, have already obvious damage of end-organs: Eyes (blindness), kidneys (kidney failure leading to dialysis), heart (coronary artery disease), genitals (impotence), vessels (stroke), and so on.

Natural medicine physicians consider normal between 4.0 and 5.0 – which puts me very close now to the ideal range, and makes me happy. – Why did conventional medicine upped the levels of “normal” sugars? I can only guess that the obesity and diabetes epidemic needed some curbing – if not in reality, then at least on paper …

How did I achieve this better sugar reading? By following my own advice, which I published last year in my diabetes book. In November, the publisher Rodale’s plans on bringing out a paperback version.

How much weight did I lose? None. Although most people lose weight “involuntarily” with my recommendations, I didn’t, because I didn’t need, having maintained the same weight since age twelve. In that way, I belong to the 10 to 15 percent of people of normal weight who have type 2 diabetes anyway (life isn’t fair!!). Those 10 to 15 percent nearly all have a gluten problem and shouldn’t eat much grains at all. Some few have type 1 diabetes, which is not related that much to diet and lifestyle.

Since the book came out readers have written me that they lost 50 plus pounds on my regimen, and that they even could stop – under medical supervision – their insulin. The Diabetes Cure works.

What does my Diabetes Cure entail? Lots of vegetables and good fats, some healthy meats, fish, eggs. Beans and garbanzos, and as many herbs as I can get my hands on. Plenty of sleep and very moderate movement – I have been un-athletic all my life, and will not change much at this age.

How can I maintain my motivation? Number one: Healthy foods are really tasty, so I usually don’t feel deprived. But I also looked into the reasons why we over-eat – and guess what: I found fifty reasons (and discuss them in my book)! It helps to know how the wrong gut bacteria fool you into craving bad foods.

Sweltering July is probably the best reason to throw out your bra – even if for only a day.

Because it is hot in there – in the cups. A few studies suggest that a link consists with wearing a bra and getting cancer. Unfortunately, those studies are not the best by scientific standards. We certainly should demand better studies!

Personally, I believe that a bra that cuts off circulation and traps heat close to one part of the body might be doing harm – the more hours a day one is wearing it, the more likely. Some people think it is the metal wire in the underwire bra that might work like an antenna, attracting bad “waves”.

One certainly should never wear a bra to bed – give your breast some freedom at least over night! But going all without is not an option for well-endowed women, because heavy breast can hurt with every movement. Sports bras certainly have their place. I wince whenever I see a woman jogging and her breasts are bouncing up and down – ouch!

Many years ago, in my twenties, I threw my bras out and never looked back – an easy decision because I have not much to hold. For me, a bra was a senseless convention. I had a beloved aunt who was as small-chested as I. She would gleefully pronounce: “What I don’t have today, can’t sag tomorrow!” Her attitude made my small size a no-problem.

For other women a bra might be a life saver – no rule applies to everybody. Today is a good day to examine if you are wearing a brassiere for comfort – or for convention. Throw out the convention … if you dare.

We know (by good studies) that bigger breasts are more likely to develop cancer. But that might have different reasons: Women who are overweight have usually a less healthy lifestyle. And more female hormones lead to bigger breasts, as well, potentially, to breast cancer.

What makes healthy breasts:

• A good diet with fresh vegetables (and avoidance of sugar, white starches, dairy and trans fats). Don’t be fat-phobic: Olive oil, coconut oil and butterfat are healthy.
• Regular movements – just move through your day, as opposed to spending time in the gym.
• A daily walk during– for moving and for daylight and vitamin D. Vitamin D prevents cancer.
• Moderate alcohol consumption. Enough sleep and real darkness in your bedroom: Light at night seems to increase the likelihood of cancer (especially if you are working nightshifts – which I certainly have, extensively, in my life).
• And here is my favorite – and of course, there are no studies to be had: Wash your breasts with cold water every day – take a face cloth and 21 splashes to each breast.

Last night in the sauna, our European friends asked again for an explanation of the Fahrenheit scale. It boggles their mind that we here in the United States still using the clumsy Fahrenheit thermometer readings, instead the easy Celsius version.

Celsius determined the freezing point of water as zero degree, and the boiling point of water as 100 degree. Fahrenheit, on the other hand, placed his zero point at the lowest temperature he personally ever measured (in an artificial cold mixture of ice and salts). He then determined the moment when ice forms on non-moving water as 32 degree. And a third fixed point was when he put the thermometer under his arm – which he called 96 degree. Things could not be more messy and arbitrary than that, methinks.

Not to take away from Mister Fahrenheit’s merits: He invented the thermometer. But his temperature scale outlived its usefulness. It is only used now in the U.S. and in Belize (does that tell us something about the political situation of Belize??). The Fahrenheit scale should go where also inches and feet and the American pound should go: On the garbage heap of history. It is time that we introduce the metric system. Mainly so that our children in school don’t spend an inordinate amount of time learning to work with one sixteenth of an inch, and something like that. To handle inches and feet make you fit for construction work, but not much more. The metric system is easier, makes more sense – and can take students to science and computer language and into the difficult future … if they didn’t have to learn inches and feet and Fahrenheit and miles and uneven pounds. As a former math teacher, mathematical prowess is important to me – and I don’t like at all that we are taking only place # 27 globally in math skills.

Daniel Gabriel Fahrenheit (1686 to 1736) died already at age fifty. I wonder if he died of mercury intoxication, because he also invented the mercury thermometer. He actually started his career as a naturalist, after his parents died of a mushroom poisoning when he was in his teens. He was born in Gdansk, not far away from where I was born, and is a contemporary of Johann Sebastian Bach. – And, no, Anders Celsius from Sweden did not die of mercury intoxication; he died so young of tuberculosis.

Meanwhile, and interrupting my writing, I took a bath in the ocean. The water is rejuvenating, stimulating and cooling. In former years I had to leave after five minutes because I was cold to the bones. For the last few years, we leave because it gets boring. Anybody here still refuting global warming? Here, in down-east coastal Maine, we feel the consequences. Also by increased rains: We had water in the basement - the cement is broken, water comes in from all sides. Which had a good side-effect: We finally had to clean up the basement; it was overdue for about twenty years ...

Of course, it is still gorgeous summertime in Maine. We sleep and eat, we read and discuss, we do sauna (and a dip in the ocean afterward), and go for hikes. The other day, we had a lobster bake, directly at the ocean with churning white water, on wooden benches. Life could not be better. That is what the Natives must have thought hundred of years ago: This was their summering area, and their spirit of reverence for this place is still in the air. They would come from afar and meet here, to indulge in clams and mussels, lobsters and scallops. Then for two hundred years this paradisal spot of the Earth, was used cutting down the old growth, then farming it, which turned out not too successful – this is mostly barren clay and rocks around here. Afterwards, sheep farming, and then, nearly a century of neglect again so that trees could cover the land. Not like old growths 0 no, that we will never get back again. But still beautiful. Now, a few summer cabins are tucked into the woods, barely visible during day time because Maine has an ordnance in place that constructions need to be away 100 feet (30,48m) the upper shore line. But at night you see lights shimmer and sparkle through the forests – more than one would guess during the day.

I have read the German mystery, and found it satisfyingly light fare. Now I am reading Hans Fallada’s Alone in Berlin – and that is not light fare. But a marvelous book. That there was one German who could write about what happened to the population during Nazi time – I feel it is kind of a redemption.

My musings from Maine can’t end without describing a few of the tiny medical emergencies we had so far – and hopefully, we will not experience worse: Cat allergy: Andrographis paniculata; leave out all dairy to reduce inflammation and mucus production. A cut foot from a stone: Saltwater; tea tree oil. A sty (hordeolum): lukewarm teabag on eye; Echinacea, goldenseal and GSE (grapefruit seed extract) from the inside. An underarm rash (likely fungal): tea tree oil. – Everybody is doing remarkably fine.

Water, movement, food, herbs and order are the five important areas you have to pay attention to if you want to be healthy.

Why does Natural Medicine promote exactly these five? It becomes clearer if we regroup them into a set of three:

1. Water and movement are needed to remind your body that it is still required to be alive. If you don’t move, and if you are not exposed to the elements (mostly cold), your body could as well not exist. A cold shower after a warm one reminds your body that it is still alive – that is why you come out of the cold shower brimming with energy, life and good mood. The same applies for movement. Life basically is movement – we diagnose death mostly by someone not moving, not breathing.
2. Food and herbs provide the building blocks so that this moving, breathing body is nourished and kept alive. What you eat is going into forming your body of tomorrow, it is essential to offer clean, fresh, mostly vegetal foods (plants) to your body – with enough proteins so that your body does not start to digest its own muscles.
3. Order – which always sounds strange in our freedom-loving country – is really about natural order: Rest, repair and rejoice are the three functions that go into the order category: Sleep, relaxation, relationships, art, music – whatever makes your life good adds to your wellbeing. In the long run, you can’t be well if you run your life against the natural grain with waste, hatred, boredom, sloth.

When I lived in California for a few months last winter, all the dryers stood on the same spot on all the porches – it was one of those modern, boring, suburban communities. All the households used the same detergents and dryer sheets. The same cloying scent was standing in the air - always. After rush hour, the smell peaked: All the dudes and gals coming home from work and did they daily home chores.

Dryer sheets are unnecessary (and toxic) products. Many volatile organic compounds are released in the air with every drying course, plus aldehydes, benzene, and other substances that are proven or under suspicion to promote cancer, asthma, and other chronic diseases. “Multiple Chemical Sensitivities” is such a syndrome, closely related to the “Gulf War Syndrome”. Researcher suspect that sitting around all day in barracks, exposed to toxic foods, toxic drinks, toxic fumes, toxic recreational drugs might be the root cause.

Even worse: Because the fragrances in dryer sheets are manufactured to last and last and last, it is near-impossible to get them out of your machine and out of your clothing (try vinegar and baking soda!).

You think your laundry smells FRESH?? That’s the power of advertisement. Does a guy who walks by me (or stands in the elevator with me) smell FRESH? Or SEXY? To me he smells chemical, and uninformed. - When I put my face in my hard towels, they smell lovely - because they are dried on the line, outside. Dryer sheets and vaginal douches would top my list of absolutely unnecessary products. But the list is close to endless, I fear.

Let’s start such a list! Because Earth is getting too small for all the people living on it, we can make an effort to omit – and perhaps ban! – all products that do not enhance the quality of life but only use up precious resources and pollute air, soil and water. Not to mention use up our money in financially difficult times.

Here is the list – not ordered by urgency just by what came to my mind:

1. Dryer sheets
2. Vaginal douches
3. Wonderbread (or any other nutrient-poor replacement of the real things made from scratch)
4. Anti-bacterial soap (except in medical settings – and even there I’d challenge the wisdom of using them)
5. Toys that are used a day, and then never again
6. Liposuction – go for a walk instead. Daily.
7. Moisturizer (use coconut oil after your shower – if you need it. On your whole body)
8. Artificial sweetener (if you really want to stick with the over-sweet taste you have been raised on, try stevia! At least, it is natural)
9. Dairy (most inflammatory, artery-clogging, brain-fogging food there is – right there with sugars)
10. Toner (splash you face with cold water whenever there is a possibility
11. Make-up (in most cases, except in professional situations like theater)
12. Veganburgers (or any fake “health” food. Cook a vegetable with olive oil and garlic. Or two. Or three. – That’s it!)
13. Food colors – Who needs neon-red and neon green and neon-purple in their mouth??
14. Facelifts
15. Power drinks (go to bed early enough so that your body gets energy naturally)

The Chinese New Year begins today – time for miscellaneous thoughts and new resolutions!

龙年快乐 read character by character, means “dragon year happy happy” – pronounced long nian kuai le. What I find fascinating is that both “happy” terms are spoken with a down tone. In my ear that double happy-happy sounds less than a Western easygoing, lucky-feeling happy but grimly determined: You better be happy – or else! I might be over-stating it, but to me the Chinese kuai! le! shows perfectly the difference in the Chinese approach to ours: We expect happiness, well, to “happen”, for instance in a relationship. The Chinese know it is hard work …

Just finished the Scripps Conference on Natural Supplements here in San Diego – taking advantage to me being right here in California (for only another week now!). Here are some thoughts I am carrying home from that wonderful conference:

• Listening to the results of modern science (the conference was for physicians and health practitioners and the talks were evidence-based – using modern science; no touchy-feely mumbo-jumbo). It seems, my thoughts on health have well held up during those many years I am thinking about what our bodies and souls need. The only point where I am more radical is in fat consumption: Most health practitioners are still fat-phobic. I am not talking bacon dripping fat, ice cream and cream puffs here – I am talking olive oil, coconut oil, fish oil, and never say no! if somebody puts foie gras on your plate – it doesn’t happen that often! - George Bernard Shaw (1856 to 1950) had this to say: “No diet will remove all the fat from your body because the brain is entirely fat. Without a brain, you might look good, but all you could do is run for public office“.

• Let’s correct that touchy-feely part: Turns out, we alternative practitioners know that body and soul belong together, and at the conference there was a healthy amount of hugging, laughter and tears going on. Because if one thing has become clear – through our old failings and brand-new science: One can’t go it alone. As a physician, I need like-minded colleagues; as a fat person, you need friends, family, community around you to make a dent in your weight – or whatever health problem you are tackling in the moment.

• Obesity is a good guess of mine because, firstly, now more than a quarter of Americans are grossly overweight – half are only overweight - and all conditions that physicians usually label as single diseases are coming together: heart disease, diabetes, depression, arthritis, obesity (Mark Hyman called it aptly “diabesity”), cancer – they are ALL ONE, namely a wrong lifestyle. Wrong food, heavily subsidized and advertised by your own government, with your own tax dollars. Time to take matters into your hands and “own your health”! “Own Your Health”, of course, is the title of Roanne Weisman’s book about alternative medicine. She wrote it after overcoming a stroke with the help of many different alternatives, after mainstream medicine had told her she would stay disabled and had to adjust to it. Boy, were they wrong!

• The old excuse that it is “all in the genes” cannot be used anymore. Yes, a lot of your weight might be determined by your genes – but only if you allow it to be so. The new science of epigenetics teaches us that genes can be switched on and be switched on – and guess, who does the switching? Your food does it, and you moving your butt around, that does it. Isn’t it marvelous?

• It takes a village to raise a child – you have heard it. It also takes a village, or a tribe, or your church group to change your health habits. Line up with a friend to start walking during lunch hour – five minutes in one direction, five minutes back. And be part of the solution, not the problem: Whenever you bring cookies or brownies or a potluck – don’t go to the old recipes! Explore new options without sugar, dairy, white starches. I always see that deviled eggs are the favorite of everybody – and they is nothing wrong with eggs, especially if the are organic, from free-walking hens. Bring cooked greens with olive oil and garlic, pepper and salt – they are delicious cold or hot! Educate your friends – don’t give in to their sugar-icing cravings! They will thank you.

• If we would not eat alone and always at a table (not in the car, not in front of TV, not in bed), we likely would be slimmer. In olden times, if you grabbed the biggest piece of meat, your mom would slap you and say: “Don’t be greedy!” If you asked for your fifth pancake, your grandma would say sharply: “Now is enough, dear!” And since nobody catered to their little hurt feelings, children found home less congenial than the outside and their friends. We always asked if we could go “outside” – whatever it was, it was not inside with the parents (your parents made you uncomfortable because they always wanted to prepared you for life), and it was not in front of TV, computer or game boy. When I was a child, our first TV came with a key – whatever happened to THAT technology?? - and we children could not even turn it on when the grown-ups were out working. Of course, we children soon figured out that the key was kept in the bar, behind the bottles. But it was a high-risk gamble – and TV was never half as exciting as our friends outside. We had one fat girl in class, in all of my thirteen years of school. And that poor girl, we all pitied her – but we wouldn’t play with her.

• “This body is not a home but an inn, and that only briefly.” Seneca (4 BC to 65 AD) said that. I think we have to start talking about what is needed: That people take their own health in their hands. Your doctors can only assist you – not do the work for you. So let’s start by calling fat “fat” – no more pussyfooting around it; physicians have long enough colluded with patients and avoided the “F” word: “I won’t call you fat, if you stay my patient”. The health care system is falling apart under the burden of health care costs brought about by overweight people (don’t forget – I still am for a national health care system!), the Earth is brought down under the burden of too many people who consume too much, and all our wealth so far has brought us very little real happiness it seems – if we judge by how many people are on anti-depressants.

• Bad news: Before you die of being overweight, the Earth might have died of pollution. Definitely, future generations – they are your kids, my kids, our kids and grandkids! – are in danger. Newborn babies have been found to have more than 200 industrial chemicals in their umbilical cord blood, right when they are born. The womb has not protected them. We are finding out the hard way that you can’t dump dirt there, and assume you are safe here. We all have only this one Earth – and do you want to be responsible for babies born with birth defects? Global warming is real – so is overpopulation and increasing environmental diseases.

• And what do they mean by “natural supplements”? I am glad to report that they do not mean artificially manufactured vitamins or new-fangled molecules, but they promote (mostly – no industry is perfect!) clean, whole, fresh herbs preserved in a bottle of tincture or capsule as well as possible. And if you are waiting for that miracle pill that might do the work for you – dream on! Real health is work. And didn’t you know it: Being sick sucks much worse.

Real health takes very little: A bit clean water, a few simple, fresh foods, a good night’s sleep – every night, a few herbs to treat little things early, abundance and walking and dancing and laughter with friends. Music, art, books. Ask more of this life just than a heavily mortgaged house, a car and a career!

A stalk of Brussels sprouts survived in my fridge while we were traveling to the East Coast. Last night, I suddenly had the vision that I would like to eat those green little roses – and of all things with raisins!

No clue where it came from. The sixth sense? But I knew I had to get up a bit earlier this morning to actually cook this strange breakfast for myself. Since the nearly twenty years I don’t indulge anymore in the ubiquitous müsli or cereal breakfast, I usually eat dinner left-overs or open a can of beans, throw in a handful of fresh or dried herbs, pepper and salt, and some olive oil – it is a fast meal, but no junk food.

At this point in my life, I take my gut feelings seriously. So I browned two large onions in coconut oil before I added the Brussels sprouts rosettes and a cup full of raisins. I let it simmer with some pepper and salt, until the rosettes were soft and the raisins plump. It was delicious – why had I never thought of adding raisins to this dish? The taste mingled the sharp black pepper and the sweet raisins to a new experience. Usually I serve Brussels sprouts with a good sprinkling of nutmeg.

Why do I take my hunches seriously? Because I figure my body wants to tell me about a slight deficiency. Of course I don’t follow hunches for marshmallows and M&Ms, because they are not natural – although I might turn to dark chocolate if I had a craving for something sweet.

Nearly thirty years ago I followed a hunch to visit a certain museum – five hundred miles away. And through that museum, I met my future (and now) husband … but that is a different story!

Why do I bring up something as unscientific as hunches?

Because daily we are bombarded by health news and scientific breakthroughs and advertisements for new super-foods – it is hard to find our way through this maze of information. I early on decided that I need to see – and feel – the difference in my body, my mood, my soul before I believe any new health hype.

For instance, I always craved more fat in my diet than medical wisdom allowed me to eat. It always seemed that my brain did not function well without enough fat – and I am talking good fats here, mostly olive oil. At that time, I was still timid and told my patients to stick to the official line in conventional medicine, namely to cut out fat. But secretly, I bathed my vegetables in all the fat I desired.

And interestingly, it was me who kept her weight since age twelve, not the people who had been advised differently. I was the one who weighed herself every day on a scale – contrary to what medicine was teaching at that time.

So, now, when you take a new supplement: Do you take it because your doctor/your herbalist/your acupuncturist/your friend/your newspaper told you so? Or because you feel suddenly so much better than before?

Over the years I found out that rarely do I feel better with ANY supplements. Exception are the phytogens (female herbs) by GAIA which I gave been taking for many years now. But I do feel better when I take my daily cold shower (or my daily laps across the pool), when I eat less at dinner and nothing thereafter, when I do moderate exercise throughout the day but feel miserable in the gym. I feel good about myself when I drop a small coin into the hand of a homeless veteran, but feel shabby when I argue to myself that he probably is an alcoholic who deserves his fate (nobody deserves that fate!!).

Over the years I found out that vitamins and homeopathy don’t do anything for me, but freshly cooked meals do. That leaving out dairy cured my asthma, and improved my osteoarthritis vastly. That I need about double as much sleep as my husband, and that I definitely need my small thyroid pill after half of my thyroid was taken out years ago. Without that tiny pill I turn into a nagging bitch (as my husband found out!).

Mind you, I don’t give in to silly cravings like drinking a ton of booze. But the occasional glass of wine seems to be fine. And when I was pregnant, I took very seriously my sudden hankering after lobster, and made my husband drive to a seafood restaurant late at night!

When one turns vegan, most people feel wonderful, initially. Because it is a cleansing diet, after the overload on meats, delis and dairy products of the Western diet. But do you still feel wonderful after a few years on this diet? Or do you believe the vegan ideology more than what your body tells you? Do you feel great after an all-you-can-eat buffet, or do you feel like a stuffed turkey? Do you feel great after a diet coke, or do you have the lingering suspicion you might be addicted to the aspartame and caffeine? Do you feel good after a triathlon, or do all your joints scream?

The big problem of course is that our brain can make us believe what we want to believe, deceivingly. It takes years of practicing your hunch skills before you can trust those wild notions coming out of nowhere. After all, there is something like the placebo effect, which may make you feel good erroneously – at least for a time.

But nobody else can answer the question “How are you?” – except you. Because every body is different, and only you can feel how you are. As my friend Roanne Weisman puts it: Own Your Health!

This is the story of a friend’s friend – no statistics behind it, no big scientific study double-blind, randomized, placebo-controlled - nothing but anecdotal evidence (and you won't see a study done on this soon!). But a poignant story anyway, and a reminder:

A woman in her forties was in quite good health, as it seemed, until one day, she got weak and ill, and was diagnosed with aplastic anemia.

Aplastic anemia is a very serious diagnosis. It means the bone marrow is not churning out the required number of blood cells necessary for survival, and her physicians recommend a bone marrow transplant to her.

One of the doctors told her that her platelet count was so low that she might start bleeding anytime (most worrisome is bleeding into the brain), and said that, as a minimum, she should stop all aspirin or ibuprofen (or any drug in that family of painkillers) as those might increase the bleeding risk.

Now this woman had taken high doses of ibuprofen on the advice of her GYN doctor for uterine fibroids and terrible cramps. She heeded the advice, stopped all pills, and slowly but surely, her blood cell count crept higher and higher, until it became clear that she did not need new bone marrow at all.

When I came to this country many years ago, I found that in a drugstore one could buy bottles of a thousand aspirin or ibuprofen pills. In Germany, one bought them in little tubes with ten or twenty each. That’s not only a difference in size: It is a difference in cultures: When you have a headache in Europe, you ask why you have the ache (nagging husband, too much sun, too much TV, too much booze, too little sleep, no exercise – the list is endless). You try to change the root cause of the pain. Here, you take a pill.

This woman had a good reason to take ibuprofen – her fibroid cramps – and took them under the supervision of a physician – and still, it nearly killed her. Ibuprofen can have bad effects on the kidneys, the liver, the stomach lining – and thousands people die each year of internal bleeding. Aplastic anemia is exceedingly rare. But this story illustrates that no drug is without side-effects and we need to have a healthy respect of any drug we put in our bodies.

Most painkillers are taken against headaches and menstrual cramps. Why not try natural methods first? More sleep, more movement, healthy fresh foods, water instead of soft beverages, less sugar and salt before periods, skullcap tincture against cramps – one has so many healthier options!

For a minimum, have GSE (Grapefruit Seed Extract) and GAIA Quick Defense capsules in your house, so if it hits you, you can start taking something fast (they don’t pay me – I say this from many years of experience!).

By the way, the main difference between a cold and the flu is that a cold is more slowly in the making, getting worse from day to day. The flu hits you like lightning: Fine in the morning, half dead in the afternoon.

Take GSE in much warm fluid - it's caustic! 16 drops - four times a day.

"Quick Defense" by GAIA (a phyto-capsule of an extract different herbs - just follow directions – usually nibs any cold in the bud.

And do deep breathing: Three deep breaths every hour on the hour - you don't want to end up with pneumonia! And get a lot of sleep! People who are run down, get sick.

And, something not on the point: Last night we walked the Pacific beach here in La Jolla. New with each new wave, the ocean never bores. It was full moon. We were playing escaping the waves - just like kids - and had fun for nearly two hours. Nobody else was there – what a waste of a wonderful full moon!

Hopefully, tomorrow more about invasive plants!

P.S. I just caught a lizard – or something like a lizard, with four legs and a long tail – in my bathroom and set him free. - Glad I found him before Otto did.

Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder.

Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not.

1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases.

2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish.

3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking.

4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month.

5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not.

6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods.

7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one:
Alfalfa sprouts
Antrodia camphorata (a medicinal mushroom)
Apples
Astragalus
Basil
Brussels sprouts
Bupleurum chinense (and other Buleurum species)
Celery
Chamomile (Chamomilla recutita)
Cilantro
Clover
Cordyceps sinensis (a medicinal mushroom)
Curcumin (in turmeric and curries)
Gentiana macrophylla
Green tea
Legumes (beans, peas, lentils, garbanzo)
Lotus flower (Nelumbo nucifera)
Mugwort (Artemisia vulgaris)
Oregano
Parsley
Pycnogenol (French Maritime Pine bark extract)
Rheum emodi
Royal jelly (a honey bee secretion)
Sophora flavenscens
Spinach
Tarragon
Tripterygium wilfordii
Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this)

8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects.

9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus.
10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination.

11. Exercise moderately.

12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system.

13. Get enough sleep. Your body needs to repair during sleep.

Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier.

A study just out: Scientists built a cap with cooling water tubes to keep the brain temperature down. Turns out you sleep best when your head is at a little below 60 degrees Fahrenheit about 15 degrees Celsius.

What – they spent research funds on that?? Insane. Why invent a machine for something that is available easily in nature?

Then again: Natural Medicine tells us for more than a century now to sleep with the window open. For the reason that one doesn’t re-breathe ones stale reason. For a second reason: To keep a cool head.

The only other proven across-the-board condition that helps people go to sleep is having warm feet. Is this neat? Cool head, warm feet! You find the absurd prescription of Wet Socks in my water book (I don’t have the time to write about it now) – absurd, but it helps.

For today: Sleep with window open. Give it it try! Of course, we sleep with window open even in the coldest winter in Maine. You can start now - in summer weather. You don’t drink water that has once gone through your body and then been discarded. You shouldn’t re-breathe your used-up air either!

One of my biggest health challenges is posture. My upper spine gives me trouble, which likely is going back to my childhood when I was bedridden for a long time, and never having been athletic and muscular anyway. Sometimes, that bent there is called widow's hump, or kyphosis.

Also, I don’t like the gym. So I do my five Alexa’s Alternatives, daily (or nearly daily). But I am sitting at the computer for long hours – like you, too, I guess.

Here is the newest exercise that I figured is useful for my posture – which makes half a dozen now. I am always on the look-out for things that can be done while doing something else. This one also helps to go to sleep, or to wake up - whatever is required. It is best done in bed, because I always worry about the potential for hurting, even with such an easy, straight forward exercise. So a padded surface is ideal.

You lie in bed, on your back. Now put some weight on your heels and on your head/neck/upper spine area. On breathing out, very gently push your back up into an arch (it feels like an arch - it looks more like a board, actually). Let go on breathing in. Repeat twenty-one times.

Make sure you don’t strain the neck. Stay as soft and mindful of the neck area as you can be. No force. You can’t will your body into better posture – just nudge it!

Do this in the morning and in the evening. It helps an upright position, straightens the neck area, and relaxes across the shoulders.

What it does: It strengthens the muscles in the back of the body - especially the neck - while most things that we are doing all day long are strengthening the front muscles (if we do anything for our muscles at all). This exercise balances front and back and will pull you upright. Within short time, you will experience the new freedom in your neck!

Have you ever worked so hard that you got to a point where nothing worked anymore?

You worked so very hard – with lots of joy and energy initially. Until the task that broke the camel’s neck – say, an assignment lasting late into the evening. Proudly, you finish that, too, way beyond your usual bedtime. But because you are so very tired, you watch bit of TV – because a person needs a reward for working so hard, doesn’t she? After midnight, you collapse into bed.

Now you can’t sleep because your mind is still racing and thinking and planning. And when you wake next morning, you feel like a truck has run you over – you are tired, unfocused, grumpy. You get up anyway, because that’s what a person does. But sitting down for work, you find yourself unable to focus on what you wanted to do. You read any unimportant news online. You get off from your chair to snip off a wilted leaf from a potted plant. You file your nails. You dawdle. You peek into emails from strangers you usually throw away unopened. You do everything you can to avoid working on the task at hand.

It is as if what excited you yesterday so much, can’t excite you anymore. You have lost all spunk and steam.

What happened? Have you suddenly turned from a highly effective person to a bum? Have you lost all your goals?

No. All what has happened is that you are sleep-deprived.

And this is the message for today: At least ninety percent of your willpower comes not from your brain and positive thinking (as much as self-help books want you make believe). It comes from a well-rested, well-fed, well-moved body.

For some weeks now, you had been on a great diet and avoided all the foods that made you listless and drowsy - and sure enough, that’s exactly the food you crave now that you are sleep-deprived. But what’s the purpose anyway, the day already is not worth any better effort, it seems. So, you take a candy when your neighbor offers one, and for lunch you have two donuts. And then, to “make up,” you pop a multivitamin and munch a health bar – even if you know quite well that it is listed with sugars, hydrogenated fats, artificial flavors and unfermented soy – things you normally avoid.

You skip you noonday walk around the block and spend the afternoon in a daze, until you drink two diet cokes in a row.

After work (or what you passed off as work) in the evening, you are not up to anything and switch on the TV as soon as you walk through the door.

Let’s interrupt the vicious cycle right here!

Because it is a vicious cycle: Sleep deprivation leads to bad food choices and overeating, bad food choices lead to poor motivation to exercise. Lack of movements leads to further lassitude, more cravings, and so on.

But the other way round, it also is a cycle – although a benign one where one good habit feeds on the next: After a good night’s sleep – long before midnight! - you wake up refreshed and full of energy. You eat your perfect breakfast (which might be a bit different for different people because not all our bodies are the same), and you are off to a great start, doing what you want to do, doing what needs to be done – and all with a happy heart. You do your little exercises, you give your neighbor a hug (but politely refuse her candy), you resume your short walks and let the sun shine on your face, and your afternoon is as productive as your morning. You bounce off after work to get some good stuff from the produce isle in the supermarket, and cook a tasty little meal in the evening – all from scratch. You do a few chores, and sit down to answer some emails. You go to bed with your favorite book – perhaps “Anna Karenina” by Tolstoy – and switch off the light long before midnight.

You think a bit of sleep and a walk and a few veggies can’t make such a dramatic difference in your life? – Give it a try!

A recent study shows that stress increases interleukin-6, a powerful agent of inflammation in the body. Interleukin-6 is, of course, not the only chemical in the body that is affected by stress: Stress creates free radicals that make you age faster. Stress puts the body in high alarm mode via adrenalin and cortisol. Stress decreases growth hormones and stunts the development of children. Stress increases abdominal fat, which leads to diabetes and other diseases.

Stress makes us sick; with this new study, we know a bit better how that happens: Years and years of inflammation in your body can lead to diabetes, heart disease, depression and cancer.

But did you know that there is bad stress and good stress? Bad stress is what life and other people do to you; good stress comes from setting yourself goals and working hard for it. Balance is the keyword here.

Balance fights stress, as European Natural Medicine knows:

• Movement: Moving around most of the day breaks down stress hormones in your muscles, and makes you feel relaxed. Again, too much exercise and competition can wreak havoc in your body. But daily walking is the minimum. Find a healthy balance between slouching and overdrive.

• Eating fresh food: Vegetables (cooked or raw), fruit, beans, nuts have powerful compounds that reduce inflammation in the body. Foods that increase inflammation are: sugar, white starches, dairy, grain fed animals, bad fats (especially fried and hardened). Grains (even whole grains) are sort of in the middle between good and bad: better than white flour, for some people they still trigger the body’s inflammation response. Observe yourself to find out where you stand. - Anything you are allergic to works in your body like a flame-thrower, increasing inflammation.

• Herbs and spices are packed with anti-oxidants, vitamins, and so on. They gobble up the free radicals and they add taste, zest and decreased inflammation to your life. Today I will just mention two: ginger and cardamom. Put some ginger and/or cardamom in your tea or herbal tea – they both are perfect winter spices.

• Touch: The more you touch and hug and kiss, the better you feel. I am not talking about sexuality though – even if the sex cravings of some people might be explained thus. I am talking about loving your family, your friends. Getting into complicated affairs might only increase your life stresses.

• Keep a pet: Companionship and again, touching, lowers blood pressure, and makes people happier and live longer. Loneliness kills by breaking your heart. A cat shows you the wisdom of taking it easy; a dog is always happy to see you.

• Water: A dried cell is a stressed cell. Make sure every cell of your body is watered well (but not water-logged) to decrease stress on the cellular level, so that the healthy biochemical reactions can take place and sustain your life.

• Sleep is the most important and most definitely underused stress reducer. If you stay up late for TV, a computer game or just plain old partying, you create the set-up for a stressful next day. Be in bed before ten at least once a week – just to be reminded how good it feels not to have to rush through sleep.

• Joy – put as much of this stress reliever into your life. One of the easiest – and most needed – ways to arrive at joy is working for the joy of other people.

Number five – order - is the one I want to talk about today. Number one to four are only the means; number five tells you that there are goals in life beyond living for the perfect diet or the perfectly sculpted body. We live to enjoy life to the fullest: to love, to learn, to share, to explore, to nurture, to care, to create.

Number five tells you that you are part of the natural order: You are born, and you will die. In between are your days and nights, which you can fill with garbage, or can fill with purpose and meaning.

Nothing in nature comes in round numbers (think 80-10-10! – one of the current fad diets) and nothing in nature comes in a square (think tofu!). Natural order makes you laugh and weep, sleep and wake, work and rest.

You know those over-exercised zealots – those narcissistic bores. Or those food faddists whose brains seem build from tofu with Swiss cheese holes. It is not about how you look or how many push-ups you can do (actually, being able to do one would be swell) – it is about leaving the world a better, happier, more just and more beautiful place for all its inhabitants.

Introduction:
[These are my notes – they are a refresher for the workshop attendants. But might also be useful to look something up when one needs it]

What happens through the winter: A depletion of reserves leads to increased susceptibility to infections. Decreased movement. Holiday foods – not healthy.

It takes two to get sick: A virus and a run-down immune system.

“Huge outbreak” of Swine flu in Great Britain: 24 deaths as of 1/29/11 – compared to the more than 35,000 deaths annually from “normal” flu in the US (which is nothing).

Cold and flu:
• Prepare: Get your immune system into perfect shape
• Protect: Shield yourself during an actual outbreak
People are less prone to respiratory infections if they have more contact with people, and hug more. Exception: Little kids – they schlep everything home. But in the long run, it might be beneficial. But in a flu outbreak: Stay away from people as much as you can. Wash hands often. Don’t be sneezed at. Avoid public transportation. Don’t hug and kiss. Avoid touching public doorknobs, telephones and similar surfaces with unprotected hands.

• Movement
The only thing for increasing qi and against cold is movement. But excess is as detrimental as laziness.
• Yoga, of course
• Daily outside walk – importance to get sun light and vitamin D
• Hiking, bicycling, games on weekends
• Snow shoveling:
Break down the task
Take small loads
No abrupt movements
Cherish twisting movements – but they also can be the source of strained muscles.
• Yoga ball (back)
• Small heavy ball (arms)
• Getting to the ground once a day (strength)
• Knee bends (strength)
• Hanging out (back)
• Standing on one leg (pelvic health)

• Food
• Fresh foods – home cooking: Vegetables, legumes, small portions of fish and meat (lamb!), fresh (or dried) herbs. No microwaving.
• Vegetarian/vegan against omnivore
• No dairy, sugars, white starches, sweeteners, artificial molecules: colorings, flavorings, enhancers, preservatives, etc
• Predominantly cooked – more so in the winter
• Fats: More is better – but they have to be vegetal: Olive oil, coconut oil, ??butter
• Organic: Good but fresh is more important
• If you have a cold/flu: You should always force hot liquids on a sick person but never food: Respect if there is no appetite, and respect if there is. Just nothing sugary. Fruit – fresh or as compotes – is probably the best. Or hot elderberry/blueberry soup (also good for acute stomach flu and urinary tract infections). Blueberries are much cheaper.

• Herbs
Herbs have been with us throughout evolution. Their mechanism fit into our ancient physiology like a key into a lock. We always ate herbs from the wild, and now that we have for the most part stopped, a little bitter green, cabbages or strong root might just be what your body needs to find back to balance.

Bacteria and viruses do not easily develop resistance against herbs. That is because a single herb contains hundreds or more of compounds, and many of these compounds work on killing off the germs - not only one. Since point mutations in bacteria can only develop one by one, it is less likely that an herb becomes ineffective against a pathogen because there will be other compounds to destroy the microbes first.

Synergy is the reason why I recommend whole herbs (tinctures or so-called phyto-caps with extracts of the whole plant) instead of “taking the best” from several pants, and making a patented medicine. Patent medicines exist because natural plants can’t be patented, and so firms try to make money by taking single compounds from a plant, combining it with other single compound, thus producing a “new” medicine that allegedly is better. The truth is, mostly it is not better because you cannot improve on nature

• Prepare: During cold and flu season, take tonic herbs like stinging nettle, astragalus, ashwaganda, or eleuthero (formerly named Siberian ginseng) to strengthen your immune system. Rotate them every three weeks.
• Spice up your food with herbs and spices because they kill microbes (the plants developed the strong-tasting compounds to protect themselves against the invasion of bacteria, viruses and fungi). Pregnant and breast-feeding women as well as little children should go easy on herbs and spices.
• When you go out, use an Echinacea spray every hour or two to protect your throat, the entry port of viruses. Again, GAIA makes a good one
• Mushrooms boost your the immune system – eat them often, or take a mushroom preparation; Whole Body Defense by Gaia is one.

• Protect: (if you had exposure, or suspect you had): If there is a bad flu epidemic: Chew a raw garlic clove, several times a day
• Take a lick of unheated honey (Manuka is the best) every hour or so – kills germs (not for children under three years – danger of botulism!)
• Rinse your nose prophylacticly with saltwater to kill germs (carefully rinse mouth afterward with clear water if you have blood pressure issues)
• Prophylactic and curing: Hot elderberry tea, hot blueberry soup
• Importance to wash hands and cover sneezes and coughs, preferably with a sleeve cough – not your hands
• Take as supplements: A probiotic (I like PrimalDefense), fish oil and cod liver oil

• Pull through: In cold and flu: Immediately when you come down with the flu: REST!
• Fever over 104 F in children, and a cold lingering more than a week should be seen by a physician. Also if you have unusual symptoms like stiff neck, enormous headaches, breathing difficulties, and so on.
• Against cold: Easiest, most expensive: GAIA Quick Defense. It contains Anagraphis paniculata – best cold medication I know (hard to find as a single extract)
• Against cold and flu: Echinacea, olive leaf, osha, pau d’arco, licorice – all as extracts in a bottle. Mix together in hot water like a tea.
• Other herbs that have been found beneficial in colds and flu: bayberry, boneset (Eupatorium perfoliatum), calendula, goldenseal, Oregon grape, juniper berry (chew a dried berry every few hours, not more than five a day, and not for longer than a week), umckaloaba (Pelargonium sidoides)
• A ready-made anti-viral concoction is the Chinese Yin Qiao Jie Du Pian, also called Honeysuckle-Forsythia Detoxifier. It might be a good idea to have some of those pills at hand when you get sick (get them from a reputable source).
• Lingering (more than a week) colds and bacterial infections: GSE extract (but consult your physician to make sure it is not pneumonia)
• Sore throat: Swish a few drops of oregano extract (nips whatever is coming in the bud, if you take it early enough) in your mouth and swallow, or zinc lozenges (science is a bit wobbly on zinc)
• Sore throat: Gargle with saltwater or warm water with one drop of sage, myrrh, oreganol, neem or tea tree oil. Not for children under six.
• Stuffed nose/Sinusitis: Rinsing nose with saltwater – frequently, if necessary
• Stuffed nose/Sinusitis: Eat mustard, horseradish.
• Stuffed nose/Sinusitis: Steam inhalation helps with a running or stuffed nose. You can add chamomile, thyme, eucalyptus or a pea-sized piece of Vick’s. You can also use Vick’s on older children (check the label).
• Cough: Gan Mao Dan Chinese pills (20 per day in divided doses), or make a tea of peppermint, honeysuckle, ginger, cloves and/or horehound, slippery elm, violets, fennel, anis, marshmallow root (the real one!), Iceland moss (Cetraria islandica), ribwort plantain
• Fever is mostly good – it kills the germs. Therefore, no aspirin or Tylenol. In children, do cold wraps or dunk babies in tepid water
• If you get the flu, start Ginkgo biloba will start repair damaged cells
• Also: No decongestants as they tend to dry out mucosa and increase stuffiness in the long run
• Increase hot fluids: hot water, hot broth (chicken soup has been researched – and it really works!), hot herbal teas (linden flowers, elderberry flowers, honeysuckle, fennel or thyme, sage, green or black tea, thyme, ginger, rose hips, mullein, lemon balm, peppermint - in all combinations) are good – but so are many other. Hot lemonade is also beneficial if made with fresh lemons and preferably with unheated honey
• If you use vitamin C, use a low-dose kind – and only in the first few days of a cold
• Don’t use all the herbs at once – get familiar with a few, one after the other.
• There is no such thing as” That herb does not work in me!” There is only “That herb does not work against this or that germ”

• Order
• Cherish the season – don’t fight it
• Preventing: GET ENOUGH SLEEP! In a flu outbreak, be in bed by nine pm every night – no TV, no computer. The body repairs itself during about two hours the time around midnight — if you are asleep then, that is.
• During a bad flu season, consider wearing a mask over nose and mouth

The causes of death in influenza are of two different origins: Older people die of the virus and its consequences like pneumonia; their weakened immune system cannot fight the virus anymore. Young people succumb to an overreaction of their still exuberant immune system – they produce what we call a cytokine storm, and usually die within the first two days. Consequently, both groups should be treated differently. In young people (older teenagers and young adults) I therefore would add an herbal anti-inflammatory, namely Zyflamend as soon as the young person gets sick.

Sometimes a patient is desperate for a diagnosis: If she has been going from doctor to doctor, and has been told uncountable times that nothing is wrong, it's all in her head - she might be relieved if she finally gets told she has "chronic fatigue." At least, now she can deal with it.

Sometimes a diagnosis can save a life: If your belly hurts, and the diagnosis is “appendicitis”, a surgeon will operate on you, and your life is saved in all likelihood. When my son, a few years ago, had high fever, stiff neck and the worst headaches of his life, only the diagnosis of a physician turned the course of the disease around. The physician thought it likely was a tick-borne disease and probably tularemia: With the right antibiotic, my son recovered quickly.

Sometimes a diagnosis is just and word: Say, your doctor tells you that you have hypertension - high blood pressure. That doesn’t help you much. It helps the doctor to know what pill to prescribe you – for the rest of your days. Now you are a patient.

High blood pressure is a typical modern-day stress disease. Only about five percent of people who are diagnosed with high blood pressure, have an underlying medical condition. The rest – ninety-five percent! – have a wrong lifestyle. But interestingly, the diagnosis doesn’t tell you that there might be a difference – or that something else than a pill might help you.

If you have an especially astute doctor, he will tell you that you have “essential hypertension”, “essential” here meaning no real reason he knows of. With other words, the diagnosis is a medical throwing up his arms in the air, declaring nothing can be done. Except for a few pills, of course.

You have stress because your boss is unreasonable, or your spouse is the nagging kind, or your gambling debts are threatening to destroy your family life – again, you might not be able to do much. On the other hand, you might be starting thinking about what can be done. Getting more sleep every night? Eating more vegetables? Going into therapy? Returning to school, training for another line of work? Divorcing your spouse, or going to marriage counseling together? Enrolling in a course of ballroom dancing together? Changing jobs? Taking up tennis to get a handle on your stress and work some of the anger off physically?

No – you have a diagnosis, and now you get a pill. That’s all. Your doctor didn’t even tell you to drink more water, I bet.

You were probably told to go easy on salt. That is nice advice – if you were also told that most processed and restaurant foods contain too much salt, even your breakfast cereals and the “nutritional” bar. And that the salt problem is really big in black people but less of an issue in Caucasian people.

Chances are that your doctor also gives you a diagnosis of too high cholesterol – hypercholesterolemia. That’s another pill, right away.

Your doctor didn’t tell you that high blood pressure and high cholesterol aren’t two different diseases. They are one bad lifestyle. More often than not they go together.

And, oh, now you got diabetes! Your sugars are too high and this new diabetes really needs good management. Your doctor might even give you a new name for the three diseases above: Syndrome X. He will wiggle his head in concern, because having all three makes it really dangerous. One has to be treated extra-extra carefully – with many pills.

Some (or all) of those pills have side effects. Liver failure, depression, impotence, muscle inflammation, fatigue, upset stomach, and so on – which will require more pills and more monitoring.

None of the pills will buy you real health – glowing, sweaty, happy health as you might experience when you play a round of pick-up Frisbee or swim in the ocean.

I am not saying here you should throw away all the pills your doctor gave you. I am just saying you should strive for health, not for diagnoses and an assortment of pills, so that, one by one – and with the supervision of your physician – you might be able to drop the pills.

What is the difference between this diagnosis and that diagnosis? My son’s illness had nothing to do with lifestyle, and all to do with a nasty bug. Most diseases like high blood pressure, diabetes, high blood fats, and many cases of depression, arthritis and cancer have a whole lot to do with lifestyle. If you break a bone, only a good cast will help mending it – and good food will speed up the healing process.

Once you have a cancer, of course, a bit of lifestyle change is not enough to save your life – you need surgery, radiation, chemotherapy. Once the cancer is diagnosed, eating more fresh vegetables and going for a daily walk in sunlight might help you recover – but better would have been you would have started on a healthy path many years ago.

The uncomfortable truth is: Health does not come out of a pill bottle. And a diagnosis is just a name. What you do with your life counts for your health.

When you have reached a certain age, people often comment on your looks: “You look ab-so-lute-ly faaa-bulous!”

Yeah. But how do you feel? How does your vagina feel – the part of your body that’s invisible, most of the time?

I happen to think that your vagina comes right after your brain in ranking organs for importance. And I think there are ways to keep her happy – and keep you happy. Responsibly, of course – that goes without saying.

Sexuality, I think, has been given to us for a bit of joy in our earthly travels. As a physician, I have observed that different vaginas can exude different levels of exuberance. As a woman, I have decided that I want to keep my precious parts healthy and vigorous. It’s for you to decide if you want to have a sad, smelly pouch down there – or alive tissue that vibrates with vigor and health and lust.

These are a few ideas, starting with movement:

• Kegel exercises, of course, are designed to preb=vent/improve the drooping of internal organs called prolapse. Nobody does Kegel exercises however because they are so boring. But if we would do them, we would benefit: Our internal organs would sag less, and get more blood supply – always a good thing.
• Alternatively, Chinese women have two small balls that are inserted into the vagina. While you walk you try to not let them fall out. This exercises has the same effect as Kegel’s – only they are more fun. The balls usually are made from shiny metal, come always in a box of two, and one has a tiny chime inside. Sounds a bit un-puritanical, though.
• My own method: Standing on one leg while brushing my teeth. It strengthens the whole pelvic musculature – with no extra time and effort.
• Using it, of course. Use it, or lose her. If you don’t have a partner, be diligent yourself. Don’t attach moral values to a bodily function that makes you happy and relaxed and keeps you young.

Now comes water:
• Drink enough fresh water and herbal teas to keep a good turgor down there.
• Cold sitzbath: This is not for the faint-hearted, especially not during the frigid times of year. But the benefits are great. Fill the bathtub with about one to two inches of water (use the time when the water is running to wash your breasts with cold water until they tingle with cold and life). Sit down. Move your legs to let the water swash over your thighs. Count to twenty-one. Get out. Towel well. If your feet are cold afterward, walk on your toes, jump on the spot, go for a walk – do anything to get warm fast again. – A cold sitzbath should not be done if you have a cold, an acute urinary infection, fever. Your body needs to be warm before you start. And never let the cold water swap over your kidney (waist) area; the cold water would use up your chi, as the Chinese say, weakening your whole system. Kept down at your vagina and legs, the cold water invigorates tired old tissues – a rejuvenating treatment.
• Don't use soap down there. This is - right after your eyes, I'd say - the most delicate area of your body, and you wouldn't rub soap into your eyes. The daily cold sitzbath will clean you well enough - provided you wash yourself with a fresh cloth after each defecation - don't wipe forward; always backward! When you take a shower and use shampoo, get a bit of the shampoo on the outside area - not inside or between the folds.
• Don't douche yourself - I said: DON'T DOUCHE YOURSELF! There is a light animal smell down there (if everything is healthy) which is a sign of health - you don't want to smell there like lilies of the valley!!

Herbs:
• Because every woman’s body is different, it sometimes takes a few trials to find the right herbal formula. I am partial to GAIA herbs and use their formula (they don’t pay me to say this!). But others work well, too. I often recommend single extracts, and put them together like black cohosh, red clover, wild yam and ginkgo biloba. Some women blossom if you add vitex to the formula. Female PMS and menopausal herbs do not only keep you healthy down there, but influence your whole body. Especially, they address the mood swings and depression that often come with declining hormones. And since they are not hormones, phyto-estrogens don’t have the same bad side-effects as hormones – don’t let your doctor talk you out of them. All studies about cultures where the diet is high in natural phyto-estrogens have shown very low breast cancer risk.

Food:
• As always, fresh food feeds the inside of every little cell in your body. Don’t think there is a shortcut for good food or cooking at home. No “nutritional” bar or restaurant can match the simple goodness of a cabbage dish made at home (cabbages, remember, are full of cancer-fighting agents).
• Food also plays a role if you want to avoid the smelly part: Everything that gives you gastro-intestinal troubles gives you overgrowth with wrong bacteria and yeast - and they might wander into your vagina (and will, given any chance!). If you have a "smelly" problem, consult your physician because it could be a case of trichomonas or any other sexually transmitted disease. And if nothing else helps, try a better diet: Leave out gluten, dairy, sugars, sweeteners and white starches.
• And don’t fall for that soy scam: The only soy products that are good for you are fermented ones (miso, real soy sauce, tempeh). Stay away from the GMO-tempered soy mono-crop that is destroying the rain forests in South America and does nothing for your health – or for your vagina.
• Use a probiotic if you have an odor - that helps your gut health. And use plain cultured yogurt in your vagina twice a day until the problem is gone.

Sleep:
• Get enough sleep because nothing in your body works when you are tired – and you certainly can’t make a tired vagina wake up by sitting all night on her in front of the computer.

In the past, I have written about junk food that feeds the bad bacteria in your gut – and how this makes you think even more of unhealthy treats: You eat a hamburger, then suddenly you crave a donut (or a bag of donuts), and then you needs some twinkies and a soda to flush them down.

I have likened this process to a computer virus: The bad gut bacteria send messages to your brain, sidetracking your best intentions for healthy eating.

There are a few other players who fiddle with your brain, make you fatter and fatigued, and thus prevent you from reaching your goals in life.

Too little sleep is one of those players. If you haven’t gotten the amount of sleep your body needs – and the individual requirements differ, usually between seven and nine hours. If you get away with five to six hours a night, chances are you are using up your bank account of health.

Too little sleep produces stress hormones the next day, and stress hormones like cortisol make you eat more – ergo, weight gain.

A day is made or broken the night before: Can you find into bed early enough – or are you staying up too late, get unrestful rest, and have a sleep-deprived hangover the next day?

And here are two more players that wreak havoc with your brain: computers and TV. Both keep you busy and interested much longer than they should. Captivated as you are, you don’t heed your body’s little signals that it is time to go to bed. You go on working, watching, playing – and so the next day is spoiled because you have to run on less energy. Once you creep into bed, you have a hard time falling asleep. Or you wake up too early. Because staying up late disrupted your sleep-wake-cycle.

Being tired produces more stress hormones. And those makes you eat more.

The holiday season is a time of high stress and tons of running around because you want to bring joy to your loved ones. This year, try this sneaky little trick: No machines (TV, computer, electronic games) after dinner. Take a book, read, listen to music, ease into slumber time – between eight and ten o’clock. If you wake up in the middle of the night, don’t toss and turn. Take this gifted time for thinking what you want to do with your life, what is important to you. And snuggle back into the pillows.

Next day, observe how you glow and function at your personal best! You regained your brain!

A panel of scientists have concluded that given the high level of immunity in the world wide population, the relative mildness of the H1N1 flu and the low probability that it might mutate to something much more threatening, the next flu season does not need to be marred by fears.

1. Fats are bad for us. - Even at that time when I felt I was giving best medical advice to my patient (“Cut down on fat”), I myself never was really able to cut out fats much. I get so incredibly hungry without! But I am still at the weight I had at age twelve … and have slowly come to the conclusion that I probably gave bad advice to my patients. (Sorry!). What I advise now: Olive oil for salads, coconut oil for frying, occasionally a bit of European-style cultured butter (very occasionally!).

2. Exercise hard. – The Centenarian Study has shown that people who live to a ripe old age usually are not strong on exercise. They have friends, putter around house and garden and live for a worthwhile cause. Plus they have good genes. – I am not saying don’t exercise – but like everything else: Do it in moderation! – A minute here and there on your yoga ball, daily, will give you better health than the gym once a week (my guess – no studies done).

3. Eat a snack before you go to bed. – Diabetics are taught this, and usually crackers and milk are recommended, both of which I think are really bad ideas. That dairy is unhealthy I have said before; crackers are nothing else than cardboard “food” – devoid of any nutritional value.

4. Snacks, in general. – Bad idea. Few people fare well on the “more meals but smaller meals” advice. Most people do “more meals and more and more calories.” I never snack – and I never try my own food when I am cooking – I just smell out if more salt is needed. And healthy snacks like celery sticks without the dip? They really make me hungry. - Forget snacks! Think of something more important!

5. Oh, and carrying water with you wherever you go. – Don’t! We got two hands to do really interesting stuff with them like fixing a car or playing the cello – NOT for lugging a water bottle or a coffee pot around. You don’t have to drink in the middle of your exercise or yoga class – before and after is plenty. Except if you are crossing a desert, don’t be seen with a bottle/cup in your hand. And drinks with calories in them? Also a no-no: Water and teas are all what is needed. Because drinks with calories are not drinks – they are meals.

6. Take a Tylenol or an Aspirin for fever. – Now, the body makes a fever to kill the germs that invaded you. It’s usually not a good idea to interfere with your body’s action. Go to bed early, drink hot herbal teas and sleep it out is usually the better response to a beginning cold.

7. Take a painkiller against pain. - If a simple Tylenol, etc. will do the trick, the pain is probably not so bad that you cannot tough it out (which is easier on your body – all the pain medications have unwanted side effects). Also: Better think why you got the pain in the first place: Hangover? Too much sun? Too much computer? Too little movement? Bad posture? Too little sleep?

On the British "Quackometer" site, I have been negatively reviewed: http://www.quackometer.net/.

This is what I answered:

Dear Mr. Andy Lewis,

Basically, I like the idea of a quackometer. On the other hand, I am not tickled that I received all those ducks. They are cute, though.

In my books and health blog, I use easy language while being informed about science. I use some new-agey terms so that people understand me – that explains “This web site is using lots of alternative medicine terms.”

At the same time, you accuse me of the opposite: “It is full of scientific jargon that is out of place and probably doesn't know the meaning of any of the terms.” You don’t want to argue with degrees - but here I have to: I was a teacher of mathematics and statistics, and have a master’s degree in philosophy, especially in epistemology (which is the science of what we can know, and where we better shut up – as Wittgenstein put it). That all before I studied medicine and finished with board-certification here in the U.S.A. in internal medicine. And I hold a degree in “Natural Medicine.” So, in all likelihood, I do understand the medical and scientific terms I use.

“It shows little or no critical thought and so should be treated with caution!” You might have overlooked my blog that states that homeopathy has no scientific basis – therefore I don’t use it with patients. But I did two courses of homeopathy to make sure I did not throw out a valuable tool unexamined. Then again, barely anybody dies of sugar pills – and here in the U.S.A. (unfortunately, I don’t have British numbers) about 100,000 people die per year of allopathic drugs. Only on your website today I found the information of this anti-malaria homeopathic concoction; that indeed is murderous, and I strongly oppose it.

However, since many ailments heal with time and better lifestyle, homeopathy (which is often combined with compassionate care and good advice for exercise and healthy eating) might be less of a safety problem than conventional medicine. I have practiced medicine for thirty years and have become skeptical of profit-driven, procedure-oriented, drug-dispensing allopathic medicine. But I would never discard good conventional medicine where it is needed and useful: When my son came home from camp with high fever, stiff neck and the worst headache of his life, I did not think for a second that “alternatives” were the answer. I drove him straight to the Emergency Room of a famous Boston Teaching Hospital (where they promptly misdiagnosed his tularemia – but that is another story…). – Appendicitis needs a good surgeon. And one doesn’t treat a heart attack by holding hands. – Guess we agree here.

Also, I am very critical of indiscriminate use of vitamins and other supplements without proven value and without documented deficiencies. You might also have noticed that I don’t sell anything – only my books which is the way to disperse ideas and knowledge). Not even a mug or a t-shirt.

There are bad genes and unfortunate accidents. But apart from that, health is a simple proposition, in my opinion: Eat well, sleep well, move a bit, drink fresh water, get your relationships and priorities right – and automatically, you will be healthier. Common sense, not more. But it is so much easier to pop a pill (allopathic, homeopathic, naturopathic) than do something yourself - that’s probably why my books sell so poorly.

Alexa Fleckenstein M.D.

P.S. I forgot two arguments:

1. Using language as the sole indicator for quackery might not work because – as you somewhere noticed yourself – language is ambiguous.

2. Writing on a rather “quackery” website should not constitute quackery itself – I often just bring arguments which might be enlightening – and lure readers to my blog. Also, if writing on a “quackery” site makes me guilty of quackery – then writing on the “Quackometer” redeems me??

Last thought: Homeopathy fills a void that conventional medicine leaves: Homeopathic practitioners care and listen. If we want to persuade patients with our scientific arguments, we first have to return to caring and listening.

We all have heard that the tryptophan in milk, cheese or turkey makes us fall asleep faster – so off we go and enjoy a little snack at bedtime. I guess even doctors have given that advice.

It is bad advice. Tryptophan does not do the trick – and melatonin from wine or grapes does not do much either. Alcohol is the worst soporific because it makes you fall asleep by dampening down your brain - only your brain recovers and gets over-excited. So, you won't sleep long.

One should have the last meal not later than six or seven pm - and NOT have a snack before turning in to bed. We call it breakfast because we are supposed to break the nightly fast in the morning. If we eat late, the body is busy digesting instead of sleeping and repairing. Repair is crucial because daily we are exposed to harmful chemicals and radiation that break DNA strands which could lead to cancer.

The two things that help falling asleep easier are:

1. Going to bed with the early signs of tiredness. For most people that would be between eight and ten. If you then watch TV or sit at the computer, you get a second wind and sleep the worse for it. As a doctor who did many nights of duty, I know that one can experience even get a third and fourth and so on wind if needed – adrenalin always gets us going - but it is definitely not healthy.

2. Warm feet make you fall asleep as a study showed; cold feet keep you up. Taking a warm foot bath, or going to bed with socks might help. Perhaps you even one day you try the crazy-sounding “wet socks” - an old-world sleep remedy. I have tried them – they help: You need two pairs of socks; preferably one cotton, one wool, but both cotton works, too. Wet the cotton pair with cold water (as cold as comes from the faucet), wring lightly; they should be wet but not dripping. Put on the woolen pair of socks on top of it. You can wrap your feet in a towel if you want – but a bit of moisture does not hurt your bedding. Sleep.

You will sleep like a baby. If you wake in the night, you may remove towel and socks. But you might not wake until the morning.

You hear me mumble a lot about Natural Medicine. How does it differ from other kinds of medicine – allopathy, naturopathy, homeopathy? (Allopathy is another name for conventional medicine – the kind that is commonly practiced in the West)?

It is simple to explain: All those systems - except for Natural Medicine - believe in pills: Allopathy in pharmaceutical drugs; naturopathy in vitamins, minerals, hormones – small molecules that are supposedly lacking in your body; homeopathy believes in little sugar pills that don’t do anything at all, but at least keep the patient away from stronger, more detrimental drugs.

Don’t get me wrong: There is nothing inherently wrong with pills. In certain situations, we need them. Only that they are vastly overrated and over-prescribed and can, at times, do more harm than good. Mainly, however: They never address the root cause of the problem.

Let’s look at a patient who walks in with a blood pressure of 200 over 120. Would I want to deny him a pill? Of course, I would start him immediately on some pressure-lowering medications. I might even observe him in the hospital for a day or two if he looks brittle. But then I would work with the patient on his lifestyle – nutrition, water intake, movement, enough sleep, work stress, martial problems, financial debts: anything that might add to his high blood pressure. Not to make him an eternal patient, but to give him a chance at health. I would also make sure that he is not one of the five percent who have a physical reason for high blood pressure, like kidney disease or pheochromocytoma.

But my main goal would be to make the pills unnecessary.

The problem is: It is so much easier for the doctor to take out her prescription pad – and so much easier for the patient to take some pills for the rest of his life than facing the hard task to turn his life around and make it healthier. We are a culture of pill poppers; we want problems to go away – and fast. We have more important things to do than work on a lifestyle of health and happiness.

And because of that, we are sick.

Granted, there are hereditary diseases, and accidents, and sheer bad luck. But truly: Many health problems are in our own hands. Take diabetes – and the Avandia scandal: Do we really think a little pill can make up for thirty years of bad food choices and no exercise?

Resveratrol - a phyto-nutrient in red wine - is the wonder “drug” that is credited with the so-called French Paradox, namely that the French smoke more and eat more fat, and still have less heart disease, is explained by this. Even doctors now recommend a daily glass of wine.

I dunno. Perhaps their better health might have to do with that the French mostly eat fresh food, take two or three hours for their biggest meal of the day to share with family and friends, and have it more often at midday than in the evening. And they sleep more.

Not to take away from the wonderful goods resveratrol delivers in the body. Resveratrol is an anti-oxidant produced by the vine that gives us wine to fight off attacks by fungi and bacteria. In mice and rats, resveratrol has been shown to be anti-inflammatory, and prevent heart disease, diabetes and cancer. Allegedly, it also prolongs life (no real proof yet!).

It sounds like this is the stuff we should eat.

But should we eat it as a supplement? Probably not.

Every time we find a super drug,” a few years later it turns out that too much of a good thing can be a bad thing. Besides, resveratrol supplements are not made from the real thing – they are synthesized in a factory.

So, have a little red wine now and then – definitely not daily. Drink water for thirst. And eat dolmades - those Greek/Turkish vine leaves filled with rice and/or meat. What the wine advertisers don’t tell you: There is quite a bit more of resveratrol in vine leaves than in wine – and without the intoxicating effects. Unfortunately, there is even less in grapes and grape juice.

Interestingly, even if one takes high doses of resveratrol, only very little of cab be detected in the blood – your liver hurries to turn this “super drug” ineffective very quickly by changing its chemistry. To me this says: Don’t overdose on this drug! The body does not like it in high doses. As many phyto-nutrients, they should be taken often but in small doses, and that is best accomplished by eating a varied diet - like our ancestors the cave men did.

P.S. Occasionally, I get asked if "once in a while" it is okay to take a supplement. Because we don't always get around to eat healthili.

To which I answer: We should. - But apart from that: If one takes a supplement, it should probably be a low-dosed vitamin or anti-oxidant. Because taking high-dosed supplements adds to the toxic burden.

Nearly half of US adults have diabetes, hypertension, or hyper-cholesterolemia - these three conditions make up Syndrome X. Plus, the definition includes a fourth condition, namely “central obesity”: a big belly.

To make the diagnosis does not take a degree from medical school. One can SEE if people are healthy – or unhealthy. Their "love handles" give them away.

In the study, white people were found to have more often only one of the conditions, whereas black and Hispanics were more likely to have two or all three.

Have you ever seen photos of the Thirties? The people look outright … unreal. Slim. We had the Depression then, granted. Barely anybody was fat. As an aside, look at their faces: They also seem happier. America then was hard at work to get itself out of the bad economical times.

Central obesity is what is also called the “apple form”: Extra weight gathers in the middle, as opposed to dragging down the bottom – which is called the “pear form.” For reasons not yet totally understood, the “apple” is the dangerous one. Probably because the “pear” connotes some genetically programmed weight gain, and the “apple” is all – what shall we call it – cultural fat.

Physicians used to think that slab of belly fat just sits there, unmovable, unchanged, forever. Now they have found out that belly fat is extremely active – like a stealth factory churning out secret molecules that make people eat more and build up more fat. That is why belly fat kills.

Slimmer is not a question of beauty but of health. A disclosure: My father was hefty. I loved it. Still love compact people. But it does not make them healthier. It only means that I will go through the heartbreak to lose them earlier – statistically speaking.

Sebastian Kneipp (1821 to 1891), one of my medical heroes, once said: “Big dinners fill coffins.” He knew what he was talking – he carried a paunch himself. Interestingly, he was a vegetarian. He did himself in with dumplings.

Which brings us to food. I will not give you a long lecture about healthy eating. Avoid high fructose corn syrup (HFCS) as a minimum, and stick to vegetables, vegetables, vegetables. Occasionally have some fish and (organic) meat.

We have the best health care system in the world?? Medicine makes us healthy??

We have a disease care system; doctors “manage” diabetes, high blood pressure, lipid abnormalities, and so on, but they don’t cure you. Why should they? They’d lose a patient. So they are going on “managing” your diabetes, high blood pressure, high lipids. If you want health, you have to do it yourself. The old-fashioned way: more sleep, fresher food, cold shower, a daily walk – one step at a time.

In Natural Medicine, the skin is one of the four elimination organs. The other three are the lungs, the kidney/bladder and the bowel. If one of these is diseased or overloaded with toxins, the excess has to be dealt with by the skin. And it often comes out as acne, especially in young people when hormones totter from childhood to adulthood. Imbalances in hormones during puberty might trigger acne but are usually not the whole problem. And acne is not solely a teenage problem.

In acne – as in many skin diseases – the gut is ailing. The main culprit in the SAD diet (Standard American Diet) is dairy – cheese, milk, and so on.

Besides giving your inflamed bowel a respite from inflammatory food, here is what else you can do against acne:

• Take a probiotic to re-establish gut flora. Add fish oil against inflammation.

• Do not touch face or other areas with your fingers because bacteria – fed by unhealthy fare – bring a pimple to bloom.

• Use a face cloth only once. Everyone should at least have two dozen face cloths. Buy them in bulk, cheap.

• Do not squeeze pimples as this can leave scars. You can squeeze blackheads (comedones) after a bath or shower when they are soft. Always disinfect with rubbing alcohol, hamamelis water (witch hazel) or tea tree oil.

• Take a cold shower always after a hot one or a bath.

• Wash your face frequently with cold water during the day.

• Do not use soap, detergents, make-up, creams in your face. Cold water is all it needs. With very oily skin, a once or twice per week facial scrub (ground almonds, apricot kernels, rolled oats – the simpler, the better) is recommended. Avoid soapy additions. Keep hair grease away from your face.

• Sauna supports the skin in its elimination functions.

• Daily short exposure to sun is essential for healing.

• Incorporate breathing exercises in your routine. For a starter take three deep breaths (always start with exhalation) every hour on the hour (or as often as you think about it; don’t hold your breath; let it flow).

• The salty water of the ocean has healing properties that can be used during vacation times. At home, salt baths (with or without herbal additions) or mud compresses can simulate the real thing.

• Get involved in sports. All movement will help to eliminate your bowels faster – and the bowel is at the root of most cases of acne.

• Drink plenty of water – at least seven cups per day, more with exercise, from a beautiful cup. No purpose, though, running around all day with a bottle of water in your hand. One does not dehydrate that fast!

• Facial steam baths with chamomile are soothing.

• A Hildegard of Bingen recipe: Store grated horseradish in apple vinegar; clean skin with the solution (I have not tried it yet - let me know if you have!).

• Herbs for internal cleansing: dandelion root and stinging nettle (as a mix or single ingredients), together or singly. As capsules or tea.

• Beyond dairy: Eat fruit and vegetables as much as possible. Rule out gluten intolerance). Reduce animal fats and meats. No dairy and milk chocolate. Avoid all sugars and white starches.

• Quit smoking.

• Get enough sleep.

• Move! Walk and do yoga. The more you move, the better your body gets rid of ugly toxins.

• Against scarring acne get the help of a dermatologist – but avoid long-term antibiotics for minor acne because they only will confound the underlying problems in your bowels.

If you have high blood pressure, ask yourself if you have balance in your life. If you feel you are off-kilter - here is what you can do:

1.Balance physical and mental exertion: Walk 10 minutes every day. No excuses: rain or shine, snow or ice. Bundle up for the weather and just go. Best times are after work, to release stress, and at noon to catch some rays of sun. — Shut off TV and computer - move more. Take up activities you like. Avoid weight lifting and isometrics, rough contact sports, races and competitions — your blood pressure is already high enough.

2.Balance inhaling and exhaling: Quit smoking and learn breathing exercises. Here is a simple one: Take three deep breaths every hour on the hour while awake. Always start with a deep exhalation.

3.Balance your electrolytes: Cut down on salt and salty foods like deli and canned goods. Food in restaurants and ready-made foods are loaded with hidden salt. Drink tons of water to flush out excess salt.

4.Balance warm and cold: End every hot shower with a cold shower: Turn the handle on very cold, start at your feet, then your hands and face. Finally the whole body. The whole thing takes just a few seconds. - Contraindications: uncontrolled high blood pressure, severe hardening of the arteries, Raynaud’s.

5.Balance your weight toward ideal. Even one pound less means that you have stopped the steady weight gain that people think comes normally with age. It does not. Five pounds totally changes your metabolism toward healthy.

6.Balance sleep and activity: Go to bed early, between nine and ten o’clock. Read yourself sleepy. Get up before seven o’clock. Follow your natural rhythm of sleep and wake. It is possible to go shopping at three AM, but it does a number on your system ... a HIGH number.!

7.Balance the seasons: Follow Nature's yearly circle. Eat in season: lighter in the summer, heartier in the winter. Open your window at night, avoid overheated or overly air-conditioned rooms. Engage in seasonal activities.

8.Balance the colors in your meals: The more colorful, the better. Try a new vegetable each month. Use olive oil for cold dishes, coconut oil for hot ones. Garlic and onions are good for your heart. Fish oil counterbalances the myriad of inflammatory agents in our diet.

9.Balance work and relaxation: Take time for your family and friends, music, arts, and hobbies. Learn something like yoga, meditation, tai chi or another relaxation technique.

• No soap. Unless you are a miner or auto mechanic, soap has no place in your face. And if you have to use something, use a pH-adjusted detergent. But for normal people: Absolutely no soap! Americans, on average, must be taking a shower every day or every other day. How dirty can you be? Let warm (not hot in your face!) water gently run over your face (and end each warm shower with a cold one!).

• No make-up, no moisturizer, no cold cream, no lotions – no nothing. Beauty can't be bought.

• Use olive oil or virgin coconut oil for your skin – find out which suits your skin type better. But only if you need them – don’t clog the pores with perfectly good skin with anything. I started using oil around my eyes in my fifties, not earlier. If you have very dry skin, start earlier. But don’t slobber it all over. If your cheeks and chin are fine, keep to eyes and neck.

And here is the biggest beauty secret of them all: Skin beauty comes from inside. It depends on what you eat: good oils (again olive oil and coconut oil; I take my cosmetics directly from the kitchen…) and heaps of vegetables. Leave out sugars, sweeteners, fried foods, an excess of meats (poultry is also meat!), trans fats, bad cooking oils and dairy. Eat more fish than meat - preferably small fish as they are less polluted.

If you want to do something special, take some good fish oil capsules (if you burp back fish, they aren’t so good!).

Get a good night's sleep before midnight! Make sure you are not getting sleeping folds by placing pillows to support you.

And: Smile! Friendliness and compassion show in your face - latest after thirty!